Inspection on 09/10/07 for Oak Tree House

This inspection was carried out on 9th October 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Oak Tree House 24/09/08

Oak Tree House 27/04/07

Oak Tree House 27/04/06

Oak Tree House 24/11/05

Oak Tree House 13/06/05

Oak Tree House 04/01/05

Oak Tree House 14/07/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Oak Tree House Lark Rise Brimsham Park Yate South Glos BS37 7PJ Lead Inspector Jon Clarke Unannounced Inspection 9th October 2007 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Oak Tree House DS0000020252.V350563.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Oak Tree House DS0000020252.V350563.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oak Tree House Address Lark Rise Brimsham Park Yate South Glos BS37 7PJ 01454 324141 01454 324151 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) www.fshc.co.uk Laudcare Ltd (a wholly owned subsidiary of Four Seasons Health Care Ltd) Mrs Janet Elizabeth Miller Care Home 80 Category(ies) of Old age, not falling within any other category registration, with number (80) of places Oak Tree House DS0000020252.V350563.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. May accommodate up to 80 persons aged 50 years and over who are receiving nursing care Of the total 80 persons, up to 10 persons (who must be 65 years or over) may be accommodated and provided with personal care. Manager must be a RN on parts 1 or 12 of the NMC register. The staffing notice dated 19/8/1999 applies. Date of last inspection 27th April 2007 Brief Description of the Service: Oak Tree House is a purpose built home, operated by Four Seasons Health Care. Mrs Janet Miller is the registered Home manager. The home is situated in a residential location, within a quiet cul-de-sac and is accessible to local shops, amenities and bus routes. The property provides bedroom and communal accommodation over two floors for 80 residents. Bedroom accommodation is provided in good-sized single rooms with en-suite facilities. There is level access throughout the home and all areas of the home are accessible via the passenger lift. There are nine communal areas throughout the home, including an activities room. There are a suitable number of bathrooms and toilets with adaptations to meet the care needs of residents in the home. Appropriate equipment is provided for individual use based on assessed identified needs. All rooms have a call alarm system. The home is set in its own grounds with a garden and patio area to the back of the house. Car parking is available for several cars. Visitors are welcome to the home at any time. The home employs two activities organisers who make efforts to provide activities during the week. The fees range from £380-£575 per week depending on individual needs. Oak Tree House DS0000020252.V350563.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced visit to the home as part of an inspection. Two regulatory inspectors and a pharmacist inspector undertook visits. As part of this inspection a number of documents were looked at including care plans, staffing, health & safety. The pharmacist inspector looked at the arrangements for the administering, storage and management of medication in the home. There was an opportunity to talk with individuals who live and work in the home. Have Your Say questionnaires were sent to the home and there were 7 responses from individuals who live in the home, 6 from staff and two from relatives. As part of this inspection the manager completed a Annual Quality Assurance Assessment (AQAA) which set out the areas of practice based around the National Minimum Standards summarising what the home does well, the evidence for this, what they could do better and how they have improved in the last 12 months. The information from the AQAA and questionnaires has been used to help make a judgement about the quality of care provided in the home. What the service does well: What has improved since the last inspection? A number of requirements were made at the previous inspection. Improvements to the environment have been made as a result of two of these requirements relating to cleanliness of the kitchen and replacement of carpeting on the first floor communal lounge area. Oak Tree House DS0000020252.V350563.R01.S.doc Version 5.2 Page 6 Following a further requirement about activities in the home there has been some efforts to develop activities based on individual preferences however this is an area that requires continued improvement. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Oak Tree House DS0000020252.V350563.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Oak Tree House DS0000020252.V350563.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home undertakes full and comprehensive assessment of prospective residents so that they are able to make an informed decision about the capacity of the home to meet health and social care needs. EVIDENCE: A number of pre-admission assessments were looked at and showed that health and social care needs had been recorded. Information about the individual’s social circumstances and history, likes and dislikes is also included. Where individuals are known to the local authority a copy of the social services assessment is obtained as part of the pre-admission arrangements. Oak Tree House DS0000020252.V350563.R01.S.doc Version 5.2 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Resident’s needs are assessed before admission, and their right to privacy is respected. However, it fails to protect the residents through lack of detailed care plans so that identified care needs can be met. Policies are in place for the safe administration of medicines, some improvements are needed to some storage facilities to make sure that all medicines can be stored safely. EVIDENCE: We looked at four care files in detail including three specific residents with various concerns about their care at the home. The care files viewed had pre admission assessment and had care plans developed on how most of the assessed needs were to be met. Oak Tree House DS0000020252.V350563.R01.S.doc Version 5.2 Page 10 However, one care file of a resident with challenging behaviour had no appropriate care plans in relation to how the individual is being supported in order to meet that need. For example there were entries on the daily note on 19/10/07 “ shouting a lot as usual”, 20/10/07 “calling out for no reason”, 31/10/07 “shouting all morning”. The care plan seen was not comprehensive and did not provide enough information/strategies to enable staff to support this person. The deputy manager stated that the home provides one to one care to this person in order to increase social contact however there was no record to confirm this. Furthermore this individual suffers from a long term medical condition that caused anxiety and pain and may be seen as self harming (entry on 29/10/07 states “had scratched herself so much, skin very red to the groin”). Whilst the person had been seen by the General Practitioner (GP) on several occasions and the individual is on medication, the home had not consulted this individual regarding the condition in order to provide a person centred care. The inspector met a high dependency resident in their room whilst walking about. This person was noted with very dry mouth and tongue, sticky eyes and was unaware of their surrounding. The person’s care file evidenced a care plan relating to action to be taken to ensure adequate mouth and eye care; however this had not happened as planned. A requirement notice has been issued for action to be taken to met the above identified needs of both individuals. These observations were raised with the deputy manager and a requirement was made for detailed care plans to be written with clear information for staff to follow in order to meet those identified needs. Care files viewed had evidence of various risk assessments to include, manual handling, nutritional, pressure area and falls. There was evidence of daily progress records in each file showing how the health and wellbeing of the residents was being monitored. Each care file also had evidence of the General Practitioner (GP) and other health professional visits regularly and when necessary. All residents spoken with confirmed that staff treat them with respect and provide privacy when attending to them. However one resident stated, some staff can be ‘bossy’ but, they come when I ring the bell. Staff were noted knocking at the doors and waiting for an answer before going in to attend to the residents. The pharmacist inspector looked at the handling of medication in the home on 31st October 2007. Policies are in place for the safe administration of medicines. I watched one member of staff giving some of the lunchtime medicines. Oak Tree House DS0000020252.V350563.R01.S.doc Version 5.2 Page 11 The medicines administration record sheet was checked and signed at the time of administration so that accurate records are kept of the medicines given to people living in the home. A small number of residents are able to look after some of their own medicines. This helps people to keep some independence. One person orders, arranges collection and looks after all their own medicines and this was documented in their care plan. Some other people look after their own inhalers, although staff administer all their other medicines. One person said that they liked to have their inhalers ready to use when they wanted them. However this had not been documented in the individual care plans and no risk assessment had been completed to make sure that the residents’ health was protected. Staff must follow the homes policy for self-administration of medicines. One person I spoke to had been looking after their own medicines before recently coming into Oak Tree House but no assessment had been made of whether they could self-medicate whilst in the home. They said that they were happy for staff to administer their medicines. But this could mean that important skills for independence are lost. A local pharmacy supplies medication using a monthly blister pack system. Staff said that doctors visit residents when asked by staff and a doctor came and saw several residents during the inspection. A homely remedy policy has been agreed with the residents’ various doctors so that staff can give a small number of medicines for minor ailments. Separate medicine storage is available on each floor of the home. The room used downstairs is very small and the temperature was above the 25 degree C recommended for the safe storage of medicines. Staff should record the temperature daily to make sure that this room is suitable for storing medicines. Staff said that the home’s owners are looking at ways of improving the storage space. A medicine fridge is available for medicines needing refrigeration. Staff have developed a system to check that medicines administration record sheets have been fully completed. A system is also in place to allow staff to audit medicines supplied in bottles or boxes to check that they have been given correctly. A check of some bottles of liquid medicine indicated that where more than one person was prescribed the same medicine they did not always receive their dose from their own bottle. All prescribed medicines are the property of the person they have been prescribed for, so it is important that people are always given medicine from their own-labelled supply. This is so that staff can check the correct dose on the label before they give it, to help avoid medicine errors. Records are kept of the receipt of medicines into the home. A separate book is used to record the disposal of medicines no longer needed. Oak Tree House DS0000020252.V350563.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The arrangements for meeting the social and recreational needs of residents are good and there are opportunities for residents to maintain links with family, friends and the local community. The home’s practice and routines are flexible and enable residents to exercise choice and have control over their lives. The home provides meals, which are balanced and meet the dietary needs of individuals in the home. EVIDENCE: I spoke to a number of individuals who live in the home about the activities provided. There was a mix of responses from “plenty of activities going on” to “not really things going on”. I spoke with one of the activity organisers who are employed in the home; she spoke of a range of group activities as well as individual. These included skittles, music and sing-a-long, reading to one individual who did not participate in group session. Oak Tree House DS0000020252.V350563.R01.S.doc Version 5.2 Page 13 The home also has outside entertainers coming to the home and it is hoped to arrange more outside trips. However in talking with the organisers and identifying some of the tasks she undertakes, these could be carried out by care staff, i.e. assisting individuals with feeding at mealtimes, and would then provide more time for activitybased tasks. She also said how she had not received any training in her role as activities organiser. Care plans whilst person centred still needed to provide more information about individual preferences, hobbies and interests. Individuals I spoke with were positive about how the home welcomes visitors describing staff as “friendly” and “welcoming”. A relative I spoke with said how it was “a very open house” and how staff and manager were “approachable” and how staff “always let me know how my relative is”. Staff I spoke with felt that one of the home’s strengths was the good relationship they had with relatives. In talking with individuals they confirmed that there is flexibility and choice in how they spend their time “let me do my own thing” “I choose when I get up, its always up to me”. It was noted on walking around the home that a number of individuals were in their rooms when I asked two individuals about this they told me “its what I want to do” they also told me that they didn’t “feel under pressure to not be in my room so much”. Copies of the home’s menu showed that there is a varied diet available in the home. Individuals I spoke with said that the “food has got better “generally fairly good” “very good on the whole”. One comment made was that whilst there was always a choice available for the main meal at tea it was “always sandwiches”. I spoke to the chef about this and he pointed out that alternatives are always available as shown on the menu, which I confirmed. He had also devised a food preferences form and was in the process of talking with all residents in the home to complete this information so that staff were very aware of specific likes and dislikes. Oak Tree House DS0000020252.V350563.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has procedures in place enabling individuals to make a complaint and voice their views about the service they receive and to know that they will be listened to and actions taken where necessary. The home makes sure that as far as possible residents are protected from harm by having policy and procedure about the Protection of Vulnerable Adults and providing training to all staff in this area. EVIDENCE: I spoke with a number of individuals who live in the home about what they would do if they were unhappy about anything and whether they were aware of the home’s complaint procedure. Comments included “ always someone I would talk to” “would tell the manager”. One individual had had reason to speak to the manager about something she was not happy about and “something had been done about it”; she was also very confident that her views would be listened to and action taken. All of those I spoke with including a relative said they knew about the home’s complaint’s procedure of their right to make a complaint if they wished. All respondents to the Have Your Say questionnaire said they knew how to make a complaint. In the last twelve months 3 complaints have been made one of which was upheld. Oak Tree House DS0000020252.V350563.R01.S.doc Version 5.2 Page 15 The home has policies and procedures in place on Safeguarding Adults and staff undertake vulnerable adults training. Training records were seen which confirmed that all staff had undertaken this training. Oak Tree House DS0000020252.V350563.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a safe and hygienic environment for the residents and staff. People who live and work in the home benefit from a warm, welcoming and generally well-maintained environment. EVIDENCE: In looking around the home and talking with the manager it was evident that improvements have been made to the environment of the home. In particular the first floor communal lounge has been re-carpeted and decorated and is now a bright, homely and welcoming environment. The kitchen was clean and there is a cleaning rota in place to make sure that the standard of cleanliness is maintained. The home has been awarded a 5 star rating food hygiene award following an environmental health inspection on 16/05/07 this is to be commended. Oak Tree House DS0000020252.V350563.R01.S.doc Version 5.2 Page 17 However the “quiet lounge” on the ground floor would benefit from redecorating to make it a more inviting area of the home it is in my view currently a rather cold and impersonal area of the home. On the day of my visit the home was clean and free from offensive odours. In talking with individuals who live in the home they commented on how clean the home was and spoke positively of how staff make every effort to make “it a nice and pleasant place to live”. Responses from the questionnaire said that the home is “always” 2 and usually 5 “fresh and clean”. There is a procedure and policy in place about infection control and records seen confirmed that staff have received infection control training. Oak Tree House DS0000020252.V350563.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,30 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. There is a significant failure to provide the required level of staffing over an extending period placing individuals in the home at risk through in-adequate staffing to meet their daily health and social care needs. The training of staff is satisfactory providing staff with the necessary knowledge and skills to meet the needs of individuals in the home. EVIDENCE: A number of comments were received from individuals who live in the home and staff about staffing levels. On the day of my visit I spoke to a group of staff who also raised issues about the staffing difficulties that the home faced and again this was also stated by residents I spoke with. Comments included: “less staff at weekends”, “there is shortage of staff particularly at weekends”, “weekends not the staff as on weekdays”, “lots of responsibilities and pressure due to short staff often asked to do overtime”. The staff survey question What the Service could do better provided three comments that related to staff: “Provide adequate staff to attend to the needs of service users.” “Treat their employees with more respect.” “Look after staff.” Oak Tree House DS0000020252.V350563.R01.S.doc Version 5.2 Page 19 I looked at staffing rotas over a period of six weeks a total of 24 shifts. They showed a significant number of occasions when the home failed to provide the required staffing as stated in the staffing notice. This was evident particularly at weekends with only 13 shifts over this period where there was the required number of care assistants on duty. On one occasion there was a shortfall of 3 care staff on each floor and a further 6 occasions when there was a shortfall of two care staff. The inspector looked at the staffing level. Based on the staffing notice found in the rota folder and confirmed by the deputy manager, the minimum numbers of nursing and care staff for 71-75 residents are: 3 registered nurses, 8am to 2.30pm, and 12 carers. 3 registered nurses, 2.30pm to 9.30pm, and 11 carers. This document is also included in the Home’s Statement of Purpose held at the Commission for Social Care Inspection. 0n 30/10/07 record confirmed that there were 4 registered nurses 8 am –2.30 pm Deputy Manager 9am –15.15pm (5RNs) 8 carers therefore two staff short on both floors. Also 4 registered nurses 2.30 –9.30pm and 9 carers therefore one staff short in the evening based on the homes staffing notice. There were 72 people living at the home on the day. Staff spoken with during this visit stated that it was ‘a very difficult day, we found it hard to meet the residents needs that day because we were short staffed. We tried our best”. Furthermore, one of the inspectors observed one staff member feeding four residents at lunchtime on the top floor. This practice further demonstrates the need for the home to review the staffing levels to ensure good outcomes for the people living at the home. The deputy manager was unable to give satisfactory explanation in relation to the shortages of staff on the day however; she stated that the home is in the process of employing more staff as soon as their CRBs are cleared. The home must ensure that there are adequate numbers of staff on duty at all times so that people who use the service are provided with care and support that meets their needs. Training record provided by the home showed that staff had received the required training specifically moving and handling, infection control, fire safety. At the time of this inspection 58 of staff have achieved NVQ level 2 or 3 qualification. Oak Tree House DS0000020252.V350563.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has arrangements in place to provide opportunity for individuals to comment on the quality of the care they receive. The health and welfare of individuals is protected by making sure that the required servicing, maintenance and fire safety procedures are followed. EVIDENCE: Mrs Janet Millar is the current manager and has completed the NVQ 4 Registered Managers Award. Individuals I spoke with were generally very positive about her approach saying that they felt “she is someone we can talk to”. Staff also commented positively about her management of the home. Oak Tree House DS0000020252.V350563.R01.S.doc Version 5.2 Page 21 As part of quality assurance the home is planning to run resident and relative meetings every two months with a newsletter as a way of informing individual about matters concerning the home. The inspector did not establish whether the home uses quality assurance questionnaires in order to provide opportunity for individuals to comment and make suggestions about the quality of care they receive. This will be an area to be looked at in more depth at the next inspection. The previous inspection confirmed that the necessary fire safety procedures including drills are taking place. Servicing of the fire system took place July 07, lift and hoists Aug 07. Oak Tree House DS0000020252.V350563.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 1 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 1 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X X X 3 Oak Tree House DS0000020252.V350563.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 15(1) Requirement Ensure that detailed and specific care plans are in place for residents. This requirement confirms the immediate requirements that were made at the time of the visit to the home. 2. OP27 18 (1) (1) The registered person shall, having regard to the size of the care home, the statement of purpose and the number and needs of service users— (a) Ensure that at all times suitably qualified, competent and experienced persons are working at the care home in such numbers as are appropriate for the health and welfare of service users. 30/10/07 Timescale for action 30/11/07 This requirement confirms the letter sent relating to staffing levels in the home. Oak Tree House DS0000020252.V350563.R01.S.doc Version 5.2 Page 24 3 OP9 13 (2) All medicines must be stored securely at a safe temperature. This refers to the downstairs storage area. Medicines must be safely administered this refers to: a) Making sure residents are always given medicines from their own labelled supply, and b) Making sure that staff follow the home’s self-medication policy. 01/12/07 4 OP9 13 (2) 01/12/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Oak Tree House DS0000020252.V350563.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection South West Regional Office 4th Floor, Colston 33 33 Colston Avenue Bristol BS1 4UA National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Oak Tree House DS0000020252.V350563.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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